DR. J. D. GUPTA M.D.
NPI 1063476935
Specialist in Goldsboro, NC

Q: What is J. Gupta's NPI number?

The NPI number for J. Gupta is 1063476935. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Q: What is J. Gupta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for J. Gupta was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 17, 2006PECOS Enrolled

2704 MEDICAL OFFICE PL, GOLDSBORO, NC 27534(919) 736-4724(919) 736-1677 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. J. D. Gupta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. J. D. GUPTA M.D. (NPI 1063476935) is an individual specialist in Goldsboro, North Carolina, licensed in North Carolina (019694) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063476935

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. J. D. GUPTACredential: M.D.

Location Address2704 MEDICAL OFFICE PLGoldsboro, NC 27534-9460

Mailing Address2704 Medical Office PlGoldsboro, NC 27534-9460 · (919) 736-4724 · Fax (919) 736-1677

Phone(919) 736-4724

Fax(919) 736-1677

Sole ProprietorNo

Enumeration DateApril 17, 2006

Last NPPES UpdateSeptember 28, 2011

✔ NPI 1063476935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 019694

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2704 MEDICAL OFFICE PL, Goldsboro, NC 27534

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Other Identifiers 5

Medicare PIN110072829NC

Medicare UPIND62785NC

Medicaid8937894NC

Other37894NC · Bcbs

Medicare PIN206878ANC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. J. D. Gupta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$17.68 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$91.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK ASHFORD BLIZZARD FNP

Family Medicine (Adult Medicine)